Commonwealth Fund

If you're very sick and not very wealthy in America, your best move may be to flee the country -- because you'd be better off in any other first world nation. Otherwise, expect to pay through the nose and possibly wind up deep in debt, according to a new report from The Commonwealth Fund.

For the first time, there's a state-by-state scorecard of America's performance in providing long-term services and support to senior citizens and people with disabilities, and the results aren't much to brag about. But they do point the way toward improving the long-term care system -- and saving the nation billions.

An international survey of 11 industrialized nations reveals that adults in the U.S. are by far the most likely to go without health care or skip filling a prescription because of costs, due to a high-cost health care system that lags behind those of other modern countries.